Individual
SANGHO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2402 19TH ST, LUBBOCK, TX 79401-4414
(806) 368-3731
Mailing address
484 2ND AVE APT 5E, NEW YORK, NY 10016-9143
(917) 214-0104
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
37080
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
37080
TX
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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